Individual
MADAIVY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA-CNA
Contact information
Practice address
2880 SW 67TH AVE, MIAMI, FL 33155-3984
(786) 479-3048
Mailing address
2880 SW 67TH AVE, MIAMI, FL 33155-3984
(786) 479-3048
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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